Displaying 135091-135100 of 1611142 results.
ID:
135091
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1442992
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
135092
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
2000023
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
135093
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
2000027
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
135094
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
2000031
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
135095
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1539248
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135096
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1300386
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
1
ID:
135097
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
829989
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
1
ID:
135098
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
830552
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
1
ID:
135099
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
830557
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
1
ID:
135100
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
803371
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
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